Band 6 Interview Flashcards
Can you recall a team which you have enjoyed working in and describe what qualities made it successful?
welcoming
effective communication, wider MDT
one shared goal- keen to develop the service
strong leadership with mutual respect
socials
What are your expectations of support/ supervision?
Regular supervision
Advice when unsure
Supported to complete any CPD courses or further education
You are working with a Band 5 who feels the patient has no rehab potential, you feel they do. After discussion the B5 still disagrees. How do you go about this?
Understand their prespective, open and honest.
Emphasise pt-centred approach and ask the pt would they would like.
If disagreement still persists, seek support.
What are your strategies to become a valued member of the team?
Involved in future developments
support jnr and snr therapists
increase responsibility
Band 7 calls in sick, you are the most senior what do you do?
CTL/ 7’s
co-ordinate with OTs
Prioritise: MOFD, rib # and strokes
use GC and catch ups
use DSAs and EFDPs for baselines and d/c support.
A Band 5 rotational joined your team, their previous appraisal noted concern: over involved with non-physio, working outside of scope. What is your approach?
Inform CTL and Band 7s.
Discuss with B5 and potentially previous appraiser.
Educate on scope of practice and set short term goals to ensure they are staying on track.
Utilised the training agreement and preceptorship to monitor and hold regular supervision
Make therapist working alongside aware so they can feedback to me.
If still struggling ask for support from seniors
You are referred another 3 patients that are MOFD on the ward. What actions do you take?
Screen to ensure MOFD, nothing awaiting- are they appropriate for therapy? EFDP involvement?
Call for help to see if anyone is free- try mix 4pm and 8pm finishers as 8pm can complete admin.
Hand over to the late team.
B5 asks for support with a new pt with dizziness and unsteadiness. What do you consider?
Give advice and not take over!
Ask pt if the dizziness is new or ongoing. Any previous BP problems, any investigations? Are the doctors aware?
Find out their baseline- falls and mobility, normally unsteady?
Ax: LSBP, any drop? Mobilise with caution, chair behind and close SO1.
OH isn’t a reason for admission, management techniques.
What do you do to unwind from a hectic day in ED?
Exercise and Shower!
Reading
Seeing family and friends
Reflecting
Working in a fast- paced environment like RADS can be stressful at time. What are your coping strategies?
Clinical: Prioritise and time management my caseload- if pts not appropriate for therapy but have social concerns, utilising the EFDPs.
Delegation to other members of staff and asking for support from seniors.
Non-clinical: regular supervisions and talking my colleagues.
Work-life balance, with 8-8s found a good balance - visit family. GYM for mental health.
You are supervising a B5/ student who is struggling, how do you manage this?
Comfortably, private environment, discuss struggles.
Short term goals using competencies and training agreement
Preceptorship for monthly catch ups and teaching
Peer supervision - helped me!
Reflect on myself as a supervisor
Keep the B7’s and CTL informed and ask for support if required.
During winter pressures, the Emergency Department opens a new area due to bed pressures. How would you manage this?
Allocate therapist/ pair to this area
Screen and prioritise
Educate the doctors on RADS criteria- MOFD
Encourage nursing to mobilise pts to avoid reconditioning
EG: LGH 15
A bariatric pt is referred to therapy- what would your approach be?
Medical notes and nerve centre- not awaiting scans?
Treat as you would anyone else
Has the pt got out? if so how?
Correct equipment- weight capacity - contact manual handling
Baseline and Assessment - ensure in at least a pair.
At baseline - ?POC/ comm. therapy
Not at baseline but MOFD - rehab.
LPT has limited CoHo Rehab beds, long waiting list. Start pt early to avoid deconditioning and need for rehab.
Frequent attender with LBP admitted, no prior imaging complete. What would your approach be?
Discuss with medical team - any imaging? if clear, analgesia.
Pt baseline, do they work. Mechanism of injury?
RED FLAGS! Pain? If yes liaise with doctor.
If no, complete objective ax. Including, muscle and sensation testing. Is pain the limiting factor?
Feedback information to medical - ?need for MRI.
Malcom admitted to ED after found wandering the road. No POC. Adamant he wants to go home. Denies falling and when shown leg graze reports he hit it on the lounge table. Neighbour who supports with shopping raised concerns about state of his home and personal care negligence. How will you handle this and what are your plans?
Check if MOFD? Check past admission and PMH to see if any cognitive impairment. Review the patients functional ability- if at baseline, hand over to EFDPs to support with appropriate discharge and social support.
Liaise with medical team to review capacity
Yes capacity - offer POC and housing input, if decline educate and useful contacts.
No capacity - medics to complete official MCA, ?home with POC vs D2A.
Maggi has a fall and has a displaced ulna # however medics are happy for d/c. What would you consider and what assessment would you complete?
X-rays documented. Ortho Input and management plan. BEBS in situ. NWB
Analgesia.
Subjective: baseline
Objective: transfers and mobility. If WZF and NWB, quad stick- as ulna involvement, no gutter frame.
If at baseline; home with POC - will struggle with ADLs.
If not THC NWB pathway.
Why did you apply for this post and what relevant experience do you bring?
As a newly qualified starting my first job, RADS were a supportive and welcoming team who helped me to become confident in my skills in a fast-paced environment as A&E is and develop into an autonomous Band 5 physio. Due to this, I applied for this role as I believe I will be able to learn and develop into an excellent band 6 within the team. I am excited to take on more responsibility and continuing working for UHL as part of a forward thinking team and want to contribute to the trusts innovation and excellence.
Relevant experience:
Despite being newly qualified, I have lots of relevant experience for this role - currently in RADS
- student placements for example ACUTE MEDICINE and completed shadowing days to support with my knowledge gaps.
- already begun supporting both senior and junior members of staff - student!
What makes you feel you are the right candidate for this job?
Adaptable and flexible individual who is able to prioritise and manage their time effectively to meet the fast paced demands of the Emergency Department and RADS (as the name says!)
Able to manage a complex caseload, look forward to having more clinical exposure to this.
Wider awareness of what’s going on within the team.
Approachable and compassionate person which is required when supporting members of the team.
Describe a situation where you had to deal with a difficult patient or family?
Complex advanced dementia patient- husband lifting and carrying pt, reported patient had standing balance. On Ax: unable to follow instructions, max AO2. Discussed with doctors for likelihood of improvement, reported none as dementia progressed which they had explained.
As pt MOFD, discussion with husband re: discharge plan. Explain to the NOK that this would be the pts new baseline. NOK became very emotional and wanted to return home the way they were.
Remained calm, open body language and compassionate towards the NOK, move discussion to private area.
One of the trust values is ‘we are one team’. Can you tell us how you apply this into your practice?
Applied daily whilst working in RADS
We work in collaborative pairs alongside OTs and closely with the wider MDT, specifically the EFDPs/ DSAs and FES ACPs to assess, provide the best clinical outcome and support with discharge planning as our aim in RADS is to facilitate discharge home.
Effectively communicate as one team through WhatsApp chats and chat ups throughout the day.
You have told us in your application about how you met one of the trust values (one team). Can you give us an example of how you meet one of the others.
Compassionate
Working in the A&E, we experience many complex patients which require difficult conversations to occur. An example of this was with a patient on AFU who had a progression of his dementia causing increase carer strain on his NOK, wife. We discussed with the NOK about discharge destinations and how we felt D2A would be the safest and most appropriate.
These discussions we have with pts and their NOK can be very upsetting and make individuals emotional during, to support the family and pt I demonstrate compassionate in these situations and create a supportive environment for them to express their concerns and worries.
